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DR. GARY W. THEALL M.D. NPI 1982697611


NPI Information

NPI: 1982697611
Provider Name: DR. GARY W. THEALL, M.D.
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
55 RONALD REAGAN BLVD
WARWICK, NY
ZIP 10990
Phone: (845) 986-4949
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DR. Gary W. Theall, M.D. is a surgery in Warwick, NY. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Gary W. Theall, M.D. NPI is 1982697611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 RONALD REAGAN BLVD
WARWICK, NY
ZIP 10990-105
Phone: (845) 986-4949
Fax: (845) 986-9388

The enumeration date for this NPI number is 8/29/2005 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery1817741NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101184569MEDICAIDNEW YORK
2E44927MEDICARE UPINNEW YORK
350F361MEDICARE ID-TYPE UNSPECIFIEDNEW YORKMEDICARE PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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